INFRASONIC BVBA Poppe Wijnsma presents: TELEMEDICINE NEEDS STANDARDS

Telemedicine origins  Delivery of medicine at a distance.  The Greek word τελε (tele) meaning 'far', and medicine  Smoke signals to warn people for serious disease  In the early 1900s, Australia used two- way radio system, to communicate with the Royal Flying Doctor Service

Telemedicine development  In absentia health care, which - thanks to modern communication technology – has metamorphosed into modern telemedicine Telemedicine nowadays  Utilizing modern information and telecommunication technology for:  Transfer of electronic medical data from one location to another location  Transfer medical information for diagnosis, therapy and education

Our Telemedicine expectations (1) Improvement of health care information  Distribution by using modern communication tools:  (Video) Phone  Video conference facility  (A)DSL (broadband) connection, secured and monitored  GPRS data connection as basic or back-up

Our Telemedicine expectations (2)  Improvement of healthcare quality:  Clearness of information  Faster information transfer  Instant information access and less time waist (waiting hours) in case of information lack  Diagnostic results and information will be safe transferred  Monitoring at home with safe and secured connection

Elderly Care Elderly are looking for:  Secured home environment  Staying at their own premises as long as possible  Optimal health care

Elderly Care Secured home environment  Combination of a security system with home automation and telemedicine  Advantages: –One system (plug and play) –One IP connection, monitored 24/7 –One alarm center for all services

Elderly Care Staying at their own premises as long as possible  The system will facilitates all kind of domotica services such as: –Remote control –Lighting control –Heating control –Smoke detection –Personal alarm –Video conferencing

Elderly Care Optimal health care The system will include:  Video conferencing system (touch screen + webcam)  Making a direct connection with healthcare providers such as: - Family doctor - Home care organization - Medic specialist at the hospital - Other health care providers  All monitoring abilities

Types of Telemedicine Telemedicine types suitable for “Elderly care”  Tele consulting  Tele diagnostics  Tele information / education  Tele monitoring  Tele rehabilitation

The System Definitions:  Secured information transfer to guarantee: –User privacy An open compatible facilitating system –Every healthcare organization should be able to use own software –Facilitates a wide range of health care services  Combination of telemedicine with domotica and an intruder alarm system –Making the system financially more feasible for faster implementation

The System Realization  Secured information transfer  Monitoring the IP connection between system and server for 24 hours / day  An open compatible facilitating system  The health care data will be transferred via the alarm center secured web server  Combination with intruder alarm and domotica  Safety improves quality of health care

The System

Telemedicine standards New standards needed ?  Adopt existing standards first  Existing standards can be applicable for:  Secured information transfer  The open compatible facilitating system  The telemedicine system

Existing standards Secured information transfer  Monitoring the IP connection between the system and the server for 24 hours per day

Music Alarm over IP AoIP ASB-Security BV Telemedicine Backoffice Alarm Narrow Cas. Video Conf. Phone Tele banking Entrance y Without full Monitoring:  The alarm signal and private telemedicine information is not secured  The time of message arrival is not guaranteed

Registration conform EN50136 Transmission time & Availability ASB-Security BV Infrastructure Telemedicine System Centeral Web server Monitoring Center System avail able server avail able alarm Transmission road (1) Receiver OK

Alarm Tele medicine Domotica Systeem EN Web server facilitating Healthcare Software connection EN Infrastructure Central server (A)DSL Modem A Plug and Play System A Plug and Play System Health care organisation Alarm telemedicine data transfer Patent NL EN

Existing standards Secured data transfer  Monitoring the IP connection between the system and the server for 24 hours per day Certified in accordance with:  EN requirements for transmission systems  EN transmission systems and equipment  EN equipment requirements systems with dedicated alarm paths (IP)

Existing standards Joint Initiative on SDO Global Health Informatics Standardization CHARTER (March 2007) Participating SDOs are ISO/TC215, HL7 Vs3 and CEN TC251 Adopting EN 7510 BS/ISO 7799 The compatible facilitating system

Telemedicine standards The system complies with following European standards  EN Requirements for power supply  TS Requirements for Control and Indicating equipment  EN Test for Wire free system components  EN EMC requirements for alarm components  EN Environmental test methods  EN Part 1&3 EMC test  EN Safety test

Infrasonic-Security BVBA Belgium Tel: System developer